SURFING SOUTH AFRICA MEMBERSHIP APPLICATION FORM 


Full Names: (required)

Surname: (required)

ID Number: (required)

Date of Birth: (required)

Gender
FemaleMale

Email: (required)

Physical Address: (required)

Postal Code (required)

Postal address same as physical address? YesNo

Postal Address: (required)

Postal Code: (required)
[

Contact Number: (required)

Are you a surfer? NoYes

Discipline (required):
SURFINGLONGBOARDINGBODYBOARDINGKNEEBOARDINGSUP SURFINGPARA SURFING

District you Affiliated to (required):
CAPE TOWNCAPE WINELANDSEDENNELSON MANDELA BAYBUFFALO CITYUGUETHEKWENIILEMBEKING CETSHWAYO

Are you a member of WSL Africa? (required) YESNO

If you are not a surfer, please indicate if you are a: (required)
CoachTechnical OfficialSupporter


DISCLAIMER:I hereby make formal membership application to Surfing South Africa for 2022.
If accepted as a member I agree to abide by the Surfing South Africa Code of Conduct and the Surfing South Africa Rules and Regulations. When competing in or working at Surfing South Africa sanctioned contests and events, I agree to abide by the decisions of the judges, contest officials, and organisers. Furthermore I hereby release the sponsors, their members or agents and any event officials from all liability for injuries or damages whatsoever arising from my participation in or presence at an SSA sanctioned contest or event. Release is inclusive for photo-graphs and moving pictures of the contest.

CONSENT: I hereby give Surfing South Africa consent to store my personal information.


ENTRY FEE
R300 from January 1st to December 31st 2022.

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